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ADHD symptomatology of children with congenital heart disease 10 years after cardiac surgery: the role of age at operation

BACKGROUND: The aim of the present study was to investigate the differences in ADHD symptomatology between healthy controls and children who underwent cardiac surgery at different ages. METHODS: Altogether, 133 children (54 patients with congenital heart disease undergoing first cardiac surgery unde...

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Detalles Bibliográficos
Autores principales: Czobor, Nikoletta R., Ocsovszky, Zsófia, Roth, György, Takács, Szabolcs, Csabai, Márta, Székely, Edgár, Gál, János, Székely, Andrea, Konkolÿ Thege, Barna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8223303/
https://www.ncbi.nlm.nih.gov/pubmed/34167512
http://dx.doi.org/10.1186/s12888-021-03324-w
Descripción
Sumario:BACKGROUND: The aim of the present study was to investigate the differences in ADHD symptomatology between healthy controls and children who underwent cardiac surgery at different ages. METHODS: Altogether, 133 children (54 patients with congenital heart disease undergoing first cardiac surgery under 3 years of age, 26 operated at the age of 3 or later, and 53 healthy controls) were examined. Patients completed the Youth Self Report (YSR), while their parents completed the Child Behaviour Checklist (CBCL) and the ADHD Rating Scale-IV. RESULTS: Children receiving surgery for the first time under the age of 3 years were more likely diagnosed with cyanotic type malformation and have undergone to a greater number of operations. However, ADHD symptoms of those treated surgically at or above 3 years of age were more severe than that of the control group or those who were treated surgically at a younger age. The control group and those treated surgically below the age of three did not differ across any of the ADHD symptom severity indicators. CONCLUSIONS: The age at the time of cardiac surgery might be associated with later ADHD symptom severity – with lower age at operation associated with better outcomes. Further, adequately powered studies are needed to confirm these exploratory findings and investigate the moderators of this relationship. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-021-03324-w.